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SU0004687 SSCRPT
Environmental Health - Public
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SU0004687 SSCRPT
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Last modified
5/7/2020 11:31:06 AM
Creation date
9/8/2019 1:03:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004687
PE
2622
FACILITY_NAME
PA-0400634
STREET_NUMBER
11515
Direction
E
STREET_NAME
NORMAN
STREET_TYPE
AVE
City
STOCKTON
APN
10328013
ENTERED_DATE
11/3/2004 12:00:00 AM
SITE_LOCATION
11515 E NORMAN AVE
RECEIVED_DATE
11/2/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NORMAN\11515\PA-0400634\SU0004687\SSC RPT.PDF
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EHD - Public
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OCT-4-2004 09:27A FROM: :3694228 P:5 <br /> �c� • <br /> 10- LU64 y _4,=hi %wo�Jn' tNVirti 'iia db6.4L <br /> NOA_]OB NUMBER- E04112A <br /> PROPERTY LOCATION: 11255 & 11515 East Norman Avenue, Stockton, California <br /> Pagc 4 <br /> ENDORSEMENTS: <br /> FART 1 <br /> As the User of the Surface Subsurface Contamination Report being prepared for the property (or <br /> the duly authorized representative of such User). I have specific knowledge of the questions posed <br /> in PART 1 of this Questionnaire regarding the property, and hereby certify to and for the benefit <br /> of Lender/Purchaser that to the best of my knowledge, information and belief the information <br /> disclosed above is true and correct_ <br /> User or Client's name <br /> Signature and date <br /> Title <br /> ff you have any questions about this queshIonnaire,please contact Ab&v Racco at(2Q9).367-3701 cmt-38 "004 <br /> SEP-16-2004 THU 09:31AM ID: PACE:5 <br />
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